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NPI 1376422709

NPI 1376422709 : MICHELLE ELIZABETH BAKER BS, BCN : AMESBURY, MA

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General NPI Number Information
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    NPI Number           |    1376422709
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE ELIZABETH BAKER BS, BCN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/29/2025
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    Last Update Date     |    08/29/2025
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Provider Practice Location Address
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    Address Line         |    26 MILLYARD STE 7 
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    City                 |    AMESBURY
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    State                |    MA
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    Zip                  |    01913-2429
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    Country              |    US
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    Telephone            |    978-880-8310
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 216 
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    City                 |    AMESBURY
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    State                |    MA
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    Zip                  |    01913-0005
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    Country              |    US
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    Telephone            |    978-880-8310
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    MT-12276
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    2472E0500X
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    Taxonomy Name        |    EEG Technician
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    License Number       |    E6866
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    License Number State |    MA
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